CRYSTAL K FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078670

License Status

NOT RENEWED

Business

First Name

CRYSTAL K

Last Name

FIELDS

Business Name

CRYSTAL K FIELDS

Original Issue Date

07/25/1983

Effective Date

07/25/1983

Expiration Date

03/31/1995

City

CATLIN

State

Zip

61817

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005